دورية أكاديمية

The Ankylosing Spondylitis Performance Index: Reliability and Feasibility of an Objective Test for Physical Functioning.

التفاصيل البيبلوغرافية
العنوان: The Ankylosing Spondylitis Performance Index: Reliability and Feasibility of an Objective Test for Physical Functioning.
المؤلفون: van Bentum RE; R.E. van Bentum, MD, T.R. Rusman, MSc, I.E. van der Horst-Bruinsma, MD, PhD, Professor, Department of Rheumatology, Amsterdam University Medical Centre, Vrije Universiteit, Amsterdam, the Netherlands., Ibáñez Vodnizza SE; S.E. Ibáñez Vodnizza, MD, M.P. Poblete de la Fuente, MD, F. Valenzuela Aldridge, MD, O. Valenzuela Letelier, MD, Department of Rheumatology, Clínica Alemana - UDD Medicine Faculty, Santiago, Chile., Poblete de la Fuente MP; S.E. Ibáñez Vodnizza, MD, M.P. Poblete de la Fuente, MD, F. Valenzuela Aldridge, MD, O. Valenzuela Letelier, MD, Department of Rheumatology, Clínica Alemana - UDD Medicine Faculty, Santiago, Chile., Valenzuela Aldridge F; S.E. Ibáñez Vodnizza, MD, M.P. Poblete de la Fuente, MD, F. Valenzuela Aldridge, MD, O. Valenzuela Letelier, MD, Department of Rheumatology, Clínica Alemana - UDD Medicine Faculty, Santiago, Chile., Navarro-Compán V; V. Navarro-Compán, MD, PhD, Department of Rheumatology, University Hospital La Paz, IdiPaz, Madrid, Spain., Rusman TR; R.E. van Bentum, MD, T.R. Rusman, MSc, I.E. van der Horst-Bruinsma, MD, PhD, Professor, Department of Rheumatology, Amsterdam University Medical Centre, Vrije Universiteit, Amsterdam, the Netherlands., Ter Wee MM; M.M. ter Wee, PhD, Department of Rheumatology, Amsterdam University Medical Centre, Vrije Universiteit, and Department of Epidemiology & Biostatistics, Amsterdam Public Health, Amsterdam University Medical Centre, Vrije Universiteit, Amsterdam., Valenzuela Letelier O; S.E. Ibáñez Vodnizza, MD, M.P. Poblete de la Fuente, MD, F. Valenzuela Aldridge, MD, O. Valenzuela Letelier, MD, Department of Rheumatology, Clínica Alemana - UDD Medicine Faculty, Santiago, Chile., van Weely SFE; S.F. van Weely, PhD, Department of Orthopedics, Rehabilitation and Physical Therapy, Leiden University Medical Centre, Leiden, the Netherlands., van der Horst-Bruinsma IE; R.E. van Bentum, MD, T.R. Rusman, MSc, I.E. van der Horst-Bruinsma, MD, PhD, Professor, Department of Rheumatology, Amsterdam University Medical Centre, Vrije Universiteit, Amsterdam, the Netherlands; ie.vanderhorst@amsterdamumc.nl.
المصدر: The Journal of rheumatology [J Rheumatol] 2020 Oct 01; Vol. 47 (10), pp. 1475-1482. Date of Electronic Publication: 2020 Feb 01.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Journal Of Rheumatology Publishing Co Country of Publication: Canada NLM ID: 7501984 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0315-162X (Print) Linking ISSN: 0315162X NLM ISO Abbreviation: J Rheumatol Subsets: MEDLINE
أسماء مطبوعة: Publication: Toronto : Journal Of Rheumatology Publishing Co
Original Publication: Toronto.
مواضيع طبية MeSH: Spondylarthritis* , Spondylitis, Ankylosing*/diagnostic imaging, Feasibility Studies ; Female ; Humans ; Male ; Reproducibility of Results ; Severity of Illness Index
مستخلص: Objective: Physical function in patients with axial spondyloarthritis (axSpA) is currently evaluated through questionnaires. The Ankylosing Spondylitis Performance Index (ASPI) is a performance-based measure for physical functioning, which has been validated in Dutch patients with radiographic (r-) axSpA. The interrater reliability has not yet been determined. To our knowledge, this study is the first to evaluate the validity, reliability, and feasibility of the ASPI in another patient population, including both r- and nonradiographic (nr-) axSpA patients.
Methods: Patients with axSpA were recruited from rheumatology clinics in Santiago, Chile. Dutch instructions were translated to Spanish by a forward-backward procedure. Study visits were performed at baseline and 1-4 weeks later. Four ASPI observers were involved, measuring the performance times of the 3 ASPI tests. Validity was assessed through a patient questionnaire (numeric rating scale 0-10: ≥ 6 sufficient). For reliability, intraclass correlation coefficients (ICC) were calculated (with 95% CI). Correlations between the ASPI and disease variables were tested with regression analyses.
Results: Sixty-eight patients were included (57% male, 52% r-axSpA). All patients understood the Spanish instructions and considered the ASPI to reach its aim (84%) and representativeness (85%) for physical functioning. The overall interrater (n = 62) and test-retest (n = 39) reliability (ICC) of the 3 tests combined were 0.93 (0.88-0.96) and 0.94 (0.87-0.97), respectively. Eighty-two percent of the patients completed all tests and 94% finished in < 15 min (feasibility).
Conclusion: This study demonstrated a high validity and feasibility in an entirely different population, with both r-axSpA and nr-axSpA. The interrater and test-retest reliability was excellent. The ASPI instructions are now available for Spanish-speaking patients.
فهرسة مساهمة: Keywords: ankylosing spondylitis; physical functional performance; spondyloarthritis
تواريخ الأحداث: Date Created: 20200203 Date Completed: 20210831 Latest Revision: 20210831
رمز التحديث: 20231215
DOI: 10.3899/jrheum.191063
PMID: 32007935
قاعدة البيانات: MEDLINE
الوصف
تدمد:0315-162X
DOI:10.3899/jrheum.191063